CCT in Anaesthetics - Core Level Training

Published: 15/08/2019

Transfer Medicine

The learning outcomes and competencies listed are those necessary for the first 24 months of anaesthetic training. It is strongly recommended that  CT 1/2 trainees complete this unit of training before undertaking intra-hospital transfer with distant supervision. Many of the competencies may be attained whilst gaining training and experience in intensive care.

Learning outcomes:

  • Correctly assesses the clinical status of patients and decides whether they are in a suitably stable condition to allow intra-hospital transfer [only]
  • Gains understanding of the associated risks and ensures they can put all possible measures in place to minimise these risks 

 Core clinical learning outcome:

  • Safely manages the intra-hospital transfer of the critically ill but stable adult patient for the purposes of investigations or further treatment [breathing spontaneously or with artificial ventilation] with distant supervision

NB: All competencies annotated with the letter ‘E’ can be examined in any of the components of the Primary examination identified in the FRCA examination blueprint on page B-99 or in the Final examination identified in the Final FRCA blueprint on page C72 of Annex C.

Knowledge

Competence

Description

Assessment

Methods

GMP

TF_BK_01

Explains the importance of ensuring the patient’s clinical condition is optimised and stable prior to transfer 

A,C,E

1,2

TF_BK_02

Explains the risks/benefits of intra-hospital transfer

A,C,E

1,2

TF_BK_03

Recalls/describes the minimal monitoring requirements for transfer 

A,C,E

1,2,3

TF_BK_04

Lists the equipment [and back up equipment] that is required for intra-hospital transfer 

A,C,E

1,2

TF_BK_05

Outlines the physical hazards associated with intra-hospital transfer

A,C,E

1,2

TF_BK_06

Explains the problems caused by complications arising during transfer and the measures necessary to minimise and pre-empt difficulties 

A,C,E

1

TF_BK_07

Outlines the basic principles of how the ventilators used for transfer function

A,C,E

1

TF_BK_08

Indicates the lines of responsibility that should be followed during transfer

A,C,E

1,2,3

TF_BK_09

Outlines the consent requirements and the need to brief patients in transfer situations

A,C,E

1,2,3,4

TF_BK_10

Outline the issues surrounding the carrying/recording of controlled drugs during transfer 

A,C,E

1,2,3

TF_BK_11

Describes the importance of keeping records during transfer 

A,C,E

1

TF_BK_12

Outlines the problem of infection and contamination risks when moving an infected patient

A,C,E

1,2

TF_BK_13

Explains how to assess and manage an uncooperative and aggressive patient during transfer

A,C,E

1,2,3,4

TF_BK_14

Understands hospital protocols governing transfer of patients between departments

A,C,E

1

TF_BK_15

Outlines the importance of maintaining communication, when appropriate with the patient and members of the transfer team.

A,C,E

1,2

Skills

Competence

Description

Assessment

Methods

GMP

TF_BS_01

Demonstrates the necessary organisational and communication skills to plan, manage and lead the intra- hospital transfer of a stable patient

A,M

1,2,3,4

TF_BS_02

Demonstrates how to set up the ventilator and confirm correct functioning prior to commencing transfer

A,D

1,2

TF_BS_03

Demonstrates safety in securing the tracheal tube securely prior to commencing the movement/transfer

A,D

1,2

TF_BS_04

Demonstrates the ability to calculate oxygen and power requirements for the journey

A,D

1,2

TF_BS_05

Demonstrates safety in securing patient, monitoring and therapeutics before transfer

A,D

1,2,3,4

TF_BK_06

Demonstrates how to check the functioning of drug delivery systems

A,D

2,3

TF_BS_07

Demonstrates appropriate choices of sedation, muscle relaxation and analgesia to maintain the patient’s clinical status during transfer

A,C,D,M

1,2

TF_BS_08

Demonstrates the ability to maintain monitoring of vital signs throughout transfer

A,D

1,2

TF_BS_09

Demonstrates the ability to maintain clinical case recording during transfer

C,M

1